How much rates vary
Facilitymedian $224 · 10th to 90th $98 to $331Professionalmedian $49 · 10th to 90th $37 to $100
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $38.02 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.12 Typical High $33.11 | Professional | TC · Technical part | $24.55 | $25.12 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $302.00 | Facility | None | $107.15 | $223.87 | $302.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | TC · Technical part | $134.90 | $134.90 | $134.90 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $42.66 | $56.23 | $100.00 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $14.45 | $26.30 | $33.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $67.61 | Professional | TC · Technical part | $28.18 | $31.62 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $562.34 | Facility | None | $186.21 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $41.69 | $45.71 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $33.88 | Professional | 26 · Professional part | $16.60 | $17.78 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $27.54 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $123.03 | Facility | None | $38.02 | $45.71 | $123.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $52.48 | $58.88 | $74.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $23.44 | $36.31 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $57.54 | Professional | TC · Technical part | $35.48 | $35.48 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $38.02 | $50.12 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $14.45 | $19.05 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $22.39 | $31.62 | $56.23 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $29.51 Typical High $67.61 | Professional | 51 · Multiple procedures | $29.51 | $29.51 | $67.61 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $11.75 Typical High $26.92 | Professional | 80 · Assistant surgeon | $11.75 | $11.75 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $8.32 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $8.32 | $8.32 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $8.32 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $8.32 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $8.32 Typical High $18.62 | Professional | AS · PA/NP assist | $8.32 | $8.32 | $18.62 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 28th of 51
$52.48
AK $129UT $33.11
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.